Boulder County Kids

Kid 1

DIRECTORY
SUBMISSION FORM

Instructions:

1.	Enter your data in the boxes provided. If you have more than one directory, please submit separate forms.
2.	Click the "Submit Directory Entry" button at the bottom.

Name of Organization:

Click on the requested directory.

After School Programs ($145 per year)
Birthday Parties ($145 per year)
Camp Programs - Spring and Summer Only ($80 for both issues)
Camp Programs - Summer Only ($50) subject to space availability.
Child Care/Preschools ($145 per year)
Health Care Services ($145 per year)
Helpful Services ($145 per year, $120 for non-profits)
Private Schools/Preschools ($145 per year)

Note: Quarter-page or more advertisers contracting for 4 issues receive one free directory listing.

Have a logo you want to appear? Please send as a separate e-mail attachment to

Street Address (optional):

City or Area (optional):
If Other, please specify location:

Zip Code (optional):

Contact Name:

Contact Phone: Please use ( ) for Area Code

Contact Fax: Please use ( ) for Area Code

Contact E-Mail:
PLEASE fill in your E-Mail address, even if you think Boulder County Kids already has it.
Check if you do NOT want your e-mail address to appear in your directory.

501 C3 Number(for non-profits):

Web Address (optional):

Face Book Address (optional):

Twitter (optional):

Linkedin(optional):

Other (optional):

•••• Program Description ••••

Program Title:

Hours:

Days:

For Age(s):

Dates of operation (optional):

Fees (optional):

License or accreditation (optional):

Description: Please provide a brief description your program. (limited to 15 to 30 words please)

Start date:

•••• For Camp Programs Only ••••

Camp Programs

Check one or both:
Day Camp
Residential Camp

Transportation provided:
Yes
No

Equipment needed:

Boulder County Kids • P.O. Box 17114 • Boulder, CO 80308
Phone: (303) 939-8767 • E-Mail:
© 1995-2013 Boulder County Kids. A division of Martinhouse Publishing, Inc. All rights reserved.
Reproduction in whole or part without written permission prohibited.

Special thanks to Bear Creek Elementary School of Boulder for the drawings.

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